letter abrierta FADSP.
Dear marciano:
Spain, 2011-July I regret really that the Federation does not take more time to the study of our health model for the future of management analyzing it with calm and tranquility, without haste and, of course, without seeking to disqualify him with assertions and judgments that really disqualify is the critical document issued by the FSDSP. As, in view of the critical document, I believe that they have not understood what we are proposing, then I will try to clarify what it says and you want to the modelo:
-do not intend to privatize hospitals and public health care centres at all; just the opposite, we want to keep the SNS; we only intend to that they can count on management instruments similar to those used by companies as a financial accounting and income, the opportunity to capitalize on investments and make the repayments, etc.
– believe you must provide transparency on resources, activities, and economic performance and health of any health centre, in terms that allow to be comparable between them, whether these public private.
– express that it is necessary that compliance with the General health law enacted 25 years ago in which established the free choice of citizens. Without freedom of choice and transparency is impossible equity.
– want compliance with the Act with respect to the effective globalization of health care. Do not understand why citizens who pay their taxes are not entitled to receive public health care, financed by the same taxes they pay, by the mere fact that it not listed in the Security Social.
– we believe that an environment of competition between hospitals and care centres should be established, whether these public and private, in order to promote the effective improvement of the quality of care and innovation.
– advocate a model in which there is no life offices and other privileges and where professionals have the recognition of its high level of responsibility and paid them for their abilities and he incentive for health outcomes arising from care activities. Clearly, Yes, stop being officers.
– our model seeks to professionalize the management of health and welfare, by putting it in the hands of professionals and not at the service of politicians of the day. This will be a crucial step to depoliticize health.
– not have nothing to do with the Cabinet of Garrigues, except for the recognition of its high professionalism and collaboration with the models in terms of clarify competence sharing between different administrations of State Spanish. His assertions in regard are totally free, baseless and dogmatic.
– our model did not want to be conditioned by the existing laws, including the Constitution, laws have to be at the service of citizens and the common sense and, if you have to change them, change. This is the Parliament.
– undoubtedly, there are companies that create wealth, and which therefore allow State can raise funds for the development of their social policies. If there are no companies, if there is business and they are not competitive, there will be no wealth, there will be no employment and there will be no money for social policies or any other. And this business is the business services, health technology, medical devices, drugs, transport, etc. And it is necessary to promote the exports of goods and services of this sector in other countries.
with regard to health services by promising private, either in the public sector as private, we recognize that they are part of the health and is the duty of the Ministry of health and the regional councils the promotion, coordination, control their activities, coordination with the Government promising and its resourceswith the objective of ensuring a proper and efficient quality health care.
tell you that is proposing a model based on the market, competition and business management. Blames the current pollution political and ideological as if to defend business interests were not also ideology ” do you think really that defend the creation of enterprises, employment and wealth is ideology? it your ideology is the destroy them?
tell you that puts the accent in paradigm shift: the disease management focused on the family doctors leaving the model of family medicine and community health promotion and participation-oriented ”. Look at you, what they say is a contradiction in terms. What we are proposing is what establishes the General Health Act adopted 25 years ago: establishment of health areas with unique management by integrating both health centres and the hospitals in the area. His assertion does not hold for anyone who has carefully read the document for the model.
for the preparation of the document for the model, the Foundation has not received any public or private funding. The dedication of the partners of the Foundation and the expert has been free and altruistic. Any other assertion is false and lacks any basis.
but are false many of the assertions you make, and the biased majority, with regard to what is intended to model. You have not read it carefully, or have discussed you or internal or externally. For example, never say who pay private insurance should be entitled to a tax, among other things relief because the model solves this differently and does not make sense for both such assertion.
would like to note however that we value the studies that you conduct on our health care system from the Observatory of the May 1 Foundation. However, the document of criticism that have been developed does not correspond with the level of other studies you published. If someone wants to know what our document for the model for the future, please be read as if what is going to read is what you are saying that he says, you won’t learn at all. Since then, with criticisms as those that have made our proposal for a model, make him a disservice to the national system of health and public health that say you defend.
I am at his disposal and his companions of the FADSP to explain the model and discuss the aspects in the critical report that, despite everything, thank you.
receive a cordial, greeting
Ignacio for RodrÃguez-Santana
President
